Andover, MA —
OSHA Injury Report: 10371 Andover (WO)
Injury · Job transfer or restriction
At a glance
On , an injury at 10371 Andover (WO) in Andover, MA 01810 resulted in job transfer or restriction. Employee was s Grocery Service Team Member.
Where did this happen?
- Establishment
- 10371 Andover (WO)
- Street
- 40 Railroad Street
- City
- Andover
- State
- MA
- ZIP
- 01810
- On-site location
- Grocery
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
EE STATES COMING AROUND CORNER TO GO TO AISLE SLIPPED ON WATER ON FLOOR FELL LANDING ON R SHOULDER CAUSING R SHOULDER PAIN.
What happened
Slip Trip Fall Ice or Snow
Injury or illness
Bruise
Object or substance involved
Water
Summary line
Contusion inflammation to right shoulder from strike against floor after slip and fall. Restricted duty
Employee and industry
- Job description
- S Grocery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 179
- Total hours worked
- 247450
- EIN
- 521711175
- Establishment ID
- 866404
- Employer case #
- 0005772122
When (timing detail)
- Date of incident
- Shift started
- 8:03:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 28FEB24:22:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.